Credentialing Application

The River Conference Credentialing Application

CANDIDATE INFORMATION

* Indicates required field

Full Legal Name *

First

Last

Preferred Name / Nickname *

Email *

Phone Number *

I am applying for (Choose One) *

Comment *

Gender *

Citizenship Status *

Physical Address *

Line 1

Line 2

City

State

Zip Code

Country

Mailing Address, if different *

Line 1

Line 2

City

State

Zip Code

Country

Preferred Language *

Date of Birth *

Marital Status *

Have you previously been divorced? *

Do you have dependents? *

Please list Minor Dependents, if applicable *

Please list Other Dependents, if applicable *

Candidate Interest - What is your interest in applying for pastoral credentialing within the Free Methodist Church? *

Do you have credentials from another Free Methodist Conference? *

Please Select One *

Do you have credentials from another denomination? *

If yes, please provide the denomination *

EDUCATIONAL BACKGROUND

Please list the undergraduate institutions you attended. *

Please list the graduate institutions you attended. *

CHURCH INFORMATION

Church Name *

Church Contact Person's Address *

Line 1

Line 2

City

State

Zip Code

Country

Church Contact Person *

First

Last

Church Contact's Phone Number *

Church Contact's Email *

LOCAL MENTOR INFORMATION

Local Mentor's Name *

First

Last

Local Mentor's Phone Number *

Local Mentor's Email *

Local Mentor's Job Title *

Submit

TRC's Credentialing Process

The River Conference Credentialing Application